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House Journal: Page 1370: Thursday, April 11, 2002

25 deductibles, coinsurance, or copayments, provided the
26 amounts and extent of such deductibles, coinsurance,
27 or copayments applicable to other medical or surgical
28 services coverage under the plan are the same. It is
29 not a violation of this section if the plan excludes
30 entirely from coverage benefits for the cost of
31 providing the following:
32 a. Marital, family, educational, developmental, or
33 training services.
34 b. Care that is substantially custodial in nature.
35 c. Services and supplies that are not medically
36 necessary or clinically appropriate.
37 d. Experimental treatments.
38 8. This section applies to plans established
39 pursuant to this chapter delivered, issued for
40 delivery, continued, or renewed in this state on or
41 after January 1, 2003."

Millage of Scott rose on a point of order that amendment H-8650
was not germane.

The Speaker ruled the point well taken and amendment H-8650
not germane.

Osterhaus of Jackson asked and received unanimous consent to
withdraw H-8643, previously deferred, filed by Osterhaus, Atteberry
of Delaware, Jochum of Dubuque, Scherrman of Dubuque and
Murphy of Dubuque from the floor.

Ford of Polk asked and received unanimous consent to withdraw
amendment H-8655, previously deferred, filed by him from the floor.

Kreiman of Davis offered amendment H-8618, previously deferred,
filed by him and Reynolds of Van Buren as follows:

H-8618

1 Amend House File 2623 as follows:
2 1. Page 17, by inserting after line 16 the
3 following:
4 "Sec. . Section 249A.4, subsection 7, Code
5 2001, is amended by adding the following new
6 unnumbered paragraph:
7 NEW UNNUMBERED PARAGRAPH. Advanced registered
8 nurse practitioners licensed pursuant to chapter 152
9 shall be regarded as approved providers of health care
10 services, including primary care pursuant to chapter
11 152, for purposes of managed care or prepaid services
12 contracts under the medical assistance program."


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